Provider Demographics
NPI:1053347849
Name:ARMSTRONG, JASON ROBERT (DPM)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ROBERT
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17215 RED OAK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2697
Mailing Address - Country:US
Mailing Address - Phone:281-444-4114
Mailing Address - Fax:281-444-7789
Practice Address - Street 1:17215 RED OAK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2697
Practice Address - Country:US
Practice Address - Phone:281-444-4114
Practice Address - Fax:281-444-7789
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1458213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80204XOtherBCBS
TX044996902Medicaid
TX7946285OtherAETNA
TX7946285OtherAETNA
TXU76497Medicare UPIN
TX80204XOtherBCBS